Provider Demographics
NPI:1376686899
Name:RUMP, JODI E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:E
Last Name:RUMP
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-2910
Mailing Address - Country:US
Mailing Address - Phone:901-527-0716
Mailing Address - Fax:901-527-0718
Practice Address - Street 1:99 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2910
Practice Address - Country:US
Practice Address - Phone:901-527-0716
Practice Address - Fax:901-527-0718
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS79941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice